Torticollis
Following on from our previous blog on flathead syndrome, we have decided to delve into one of the potential causes of flathead syndrome - Torticollis (tight neck muscles).
What is Torticollis?
Torticollis, or “twisted neck,” most often occurs due to tightness in a neck muscle called the sternocleidomastoid (SCM). Torticollis can be congenital (present at birth) or acquired (happens as a baby develops). It can occur from positioning in the womb or a challenging delivery. Positional factors, like spending too much time on the back or in baby gear (swings, car seats), can also contribute to torticollis occurring. Parent’s usually notice it in the first few months of life.
When the stenocleidomastoid (SCM) muscle is tight it causes the baby’s ear on one side to be closer to the shoulder while the chin is often slightly turned away from that side. This is the most common position of tightening, however, most parents usually simply note that their baby has a preference to look one way while playing or sleeping. Sometimes babies are able to look the other way, but parents describe that it appears more difficult or uncomfortable. Other times, a parent will report that their baby can’t fully look to the opposite side at all.
Why is early identification and intervention so important?
Early detection is key. Left untreated, torticollis can lead to plagiocephaly (flathead syndrome), delays in motor milestones, and even asymmetry in facial features. The good news? With early and consistent physical therapy, most babies show significant improvement and often the torticollis will fully resolve.
How does a Paediatric Physiotherapist help?
As physiotherapists, our treatment focuses on:
Gentle stretching exercises to loosen tight neck muscles
Promoting active movement toward the non-preferred side
Educating parents on positioning and play techniques at home
Monitoring for any signs of delayed development or skull flattening
What can you do at home if you start to to notice your baby has a preference?
Offer toys and entertainment on the side your baby avoids
Practice lots of tummy time to strengthen neck and shoulder muscles
Alternate the direction your baby faces in their cot or during nappy changes
Avoid too much time in car seats, swings, or bouncers
If you notice your baby always tilts their head one way or has trouble turning, don’t wait—talk to your Paediatrician and seek out an assessment with a Paediatric Physiotherapist. Early, gentle intervention makes a big difference, and we’re here to support you and your baby every step of the way.
If you have any concerns please Email ali@littleonesphysiotherapy.com.au or hit the “Book Appointment” button to get in touch.
Disclaimer: This page is intended to be educational and informative only and should not be taken as, or replace, individual medical advice. This should act as a guide only. Always consult with a healthcare professional for accurate diagnosis and personalised treatment if you have any concerns with your little one.
Every child is unique and should be assessed individually.